304 results match your criteria: "Chang Gung Memorial Hospital-Linkou Medical Center[Affiliation]"

Magnetic Resonance Images Implicate That Glymphatic Alterations Mediate Cognitive Dysfunction in Alzheimer Disease.

Ann Neurol

January 2023

Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center Neuroscience Research Center, and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.

Article Synopsis
  • The study investigates the glymphatic system's role in clearing amyloid and tau proteins from the brain in Alzheimer's disease (AD), as previous research primarily focused on animal models without clear human evidence.
  • A sample of 50 participants with AD and normal controls underwent various imaging and neuropsychological assessments, revealing that glymphatic activity negatively correlated with amyloid and tau deposits and positively correlated with cognitive function.
  • Findings suggest that glymphatic system activity could mediates cognitive dysfunction in AD, indicating its potential as a biomarker for disease progression or treatment effects.
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Alzheimer's disease (AD), characterized by the abnormal accumulation of -amyloid (A), is the most prevalent type of dementia, and it is associated with progressive cognitive decline and memory loss. A accumulation activates microglia, which secrete proinflammatory factors associated with A clearance impairment and cause neurotoxicity, generating a vicious cycle among A accumulation, activated microglia, and proinflammatory factors. Blocking this cycle can be a therapeutic strategy for AD.

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Segmented in vitro fertilization and frozen embryo transfer in dienogest-treated patient with adenomyosis: A case report and lierature review.

Taiwan J Obstet Gynecol

September 2022

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center, Chang Gung University, 5 Fu-Shin Street, Kweishan, Taoyuan, Taiwan. Electronic address:

Objective: To assess the effects of dienogest on segmented in vitro fertilization (IVF) and frozen-thawed embryo transfer (FET) for a patient with adenomyosis.

Case Report: A 33-year-old female with primary infertility for 3 years had dysmenorrhea and hypermenorrhea. Diagnosis of adenomyosis was made with a sonographic exam and an elevated cancer antigen 125 (CA-125, 310 U/mL).

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Combing pre-workshop, web-based learning and hands-on workshop as a flipped classroom clinical skill training model during the COVID-19 pandemic.

Taiwan J Obstet Gynecol

September 2022

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center, 333, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan. Electronic address:

Objective: Due to the COVID-19 pandemic, there is a dramatic drop in in-person residency training due to the implementation of isolation and triage measurements. Here, we propose a new flipped classroom clinical skill training model utilizing a combination of pre-workshop, web-based learning and hands-on workshop that shortens in-person contact time to maintain residency training during the pandemic. Effectiveness of this training model was evaluated with a pre-test and post-test skills competency assessment, two-way feedback, and a five-point Likert scale structured survey questionnaire.

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Background and purpose: to investigate the frequency of cervical−cranial vascular complications soon after radiation therapy (RT) and identify differences among patients with various types of head and neck cancer (HNC). Methods: We enrolled 496 patients with HNC who had received their final RT dose in our hospital. These patients underwent carotid duplex ultrasound (CDU) for monitoring significant carotid artery stenosis (CAS).

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Differential Relapse Patterns After Discontinuation of Entecavir vs Tenofovir Disoproxil Fumarate in Chronic Hepatitis B.

Clin Gastroenterol Hepatol

June 2023

Toronto Centre for Liver Disease, Toronto General Hospital, Toronto, Ontario, Canada; Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. Electronic address:

Background And Aims: Whether entecavir (ETV) and tenofovir disoproxil fumarate (TDF) differentially affect relapse and outcomes following treatment discontinuation across different patient subpopulations remains unclear. We aimed to compare rates of off-therapy hepatitis B surface antigen (HBsAg) loss, virological and clinical relapse, and retreatment between chronic hepatitis B (CHB) patients who discontinued TDF or ETV therapy.

Methods: This study included 1402 virally suppressed CHB patients who stopped either ETV (n = 981) or TDF (n = 421) therapy between 2001 and 2020 from 13 participating centers across North America, Europe, and Asia.

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Epilepsy is a common disabling chronic neurological disorder characterized by an enduring propensity for the generation of seizures that result from abnormal hypersynchronous firing of neurons in the brain. Over 20-30% of epilepsy patients fail to achieve seizure control or soon become resistant to currently available therapies. Prolonged seizures or uncontrolled chronic seizures would give rise to neuronal damage or death, astrocyte activation, reactive oxygen species production, and mitochondrial dysfunction.

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Extracellular Vesicle-Associated MicroRNA-138-5p Regulates Embryo Implantation and Early Pregnancy by Adjusting GPR124.

Pharmaceutics

May 2022

Institute of Stem Cell and Translational Cancer Research, Chang Gung Memorial Hospital Linkou Medical Center, Chang Gung University School of Medicine, Taoyuan 333, Taiwan.

Functional embryo-maternal interactions occur during the embryo implantation and placentation. Extracellular vesicles with microRNA (miR) between cells have been considered of critical importance for embryo implantation and the programming of human pregnancy. MiR-138-5p functions as the transcriptional regulator of G protein-coupled receptor 124 (GPR124).

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Objective: Elevated lipoprotein(a) level is an independent risk factor for atherosclerotic cardiovascular disease. However, the strength of this association in healthy individuals is unknown.

Methods: In this retrospective cohort study, we reviewed medical records obtained from a Health Examination Program.

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Detection and assessment of alpha-synuclein in Parkinson disease.

Neurochem Int

September 2022

Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan. Electronic address:

Article Synopsis
  • * A total of 76 studies were analyzed, indicating that the enzyme-linked immunosorbent assay (ELISA) is the most frequently used method for measuring alpha-synuclein levels, with significant variability in reported values based on different assays and antibody selections.
  • * The findings suggest that consistent assay methods and antibody choices are critical for reliable measurements of alpha-synuclein, and the immunomagnetic reduction (IMR) method shows potential for better quantification in plasma and serum samples.
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Whole-Ovary Laparoscopic Incisions Improve Hormonal Response and Fertility in Patients with Extremely Poor Ovarian Response.

J Minim Invasive Gynecol

July 2022

Department of Obstetrics and Gynecology, School of Medicine (Dr Hsueh), Stanford University, Stanford, California.

Article Synopsis
  • Recent research suggests that mechanical procedures like ovarian cortex fragmentation and ovarian drilling may help stimulate follicle growth in women with conditions like premature ovarian insufficiency (POI) and polycystic ovarian syndrome (PCOS).
  • This study examined a new laparoscopic procedure called the whole-ovary laparoscopic incision (WOLI), which could activate dormant follicles in women with an extremely poor ovarian response (EPOR) who are struggling to conceive.
  • Results showed that after WOLI, the majority of participants experienced improved ovarian response and successful embryo transfers, with at least two patients achieving healthy pregnancies.
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The present study examined whether bladder detrusor dysfunction due to partial bladder outlet obstruction (pBOO) could be improved after the treatment of human amniotic fluid stem cells (hAFSCs). 72 female rats were grouped into sham operation, pBOO, and pBOO with hAFSCs treatment (pBOO + hAFSCs) for in vitro and in vivo studies. Bladder weight, bladder wall thickness, the ratio of collagen to smooth muscle and the levels of positive CD11b/c and HIS48 cells was significantly increased after pBOO but improved after hAFSCs treatment.

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Introduction: High sustained virological response (SVR) rate (>95%) and liver stiffness regression can be achieved with direct acting antivirals treatment (DAA) in patients with chronic hepatitis C virus (CHC) infection. Reactivation of hepatitis B virus (HBV) was reported during DAA treatment in patients co-infected with HBV, although its impact on liver stiffness remains unknown. This study aims to investigate whether the liver stiffness (LSM) regression is different between HBV/HCV co-infected and mono-HCV-infected patients.

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Background: Isaacs' syndrome is a peripheral nerve hyperexcitability (PNH) syndrome due to peripheral motor nerve instability. Acquired Isaacs' syndrome is recognized as a paraneoplastic autoimmune disease with possible pathogenic voltage-gated potassium channel (VGKC) complex antibodies. However, the longitudinal correlation between clinical symptoms, VGKC antibodies level, and drug response is still unclear.

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Alterations of Sphingolipid and Phospholipid Pathways and Ornithine Level in the Plasma as Biomarkers of Parkinson's Disease.

Cells

January 2022

Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang Gung University, Taoyuan 333423, Taiwan.

The biomarkers of Parkinson's disease (PD) remain to be investigated. This work aimed to identify blood biomarkers for PD using targeted metabolomics analysis. We quantified the plasma levels of 255 metabolites in 92 PD patients and 60 healthy controls (HC).

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Functional status and return to work in people with major depression: a 3-year national follow-up study.

Soc Psychiatry Psychiatr Epidemiol

June 2022

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Zhongzheng Road, Zhonghe District, New Taipei City, 235, Taiwan.

Purpose: Major depressive disorder (MDD) affects a person's function of daily activities, including work participation. Such functional impairments often persist even when other symptoms of MDD are remitted. Increasing evidence highlights the health-promoting effects of returning to work (RTW) in various diseases.

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Tracheal reconstruction remains challenged in clinical. We aimed to fabricate scaffolded cartilage sheets with rigid and elastic supports for tracheal reconstruction. The chondrocyte cell infiltration activity was examined in poly-caprolactone sheet scaffolds with various thicknesses and pore sizes after seeding cells on the top surface of the sheet scaffolds.

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Introduction: Osteoporosis has been demonstrated to be a risk factor for rotator cuff retears after surgery; however, no studies have directly investigated the association between osteoporosis and the development of rotator cuff tears. To investigate whether osteoporosis is associated with an increased risk of rotator cuff tears.

Materials And Methods: We conducted a population-based, matched-cohort study with a 7-year follow-uTwo matched cohorts (n = 3511 with osteoporosis and 17,555 without osteoporosis) were recruited from Taiwan's Longitudinal Health Insurance Dataset.

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The management of neovascular age-related macular degeneration (nAMD) has taken a major stride forward with the advent of anti-VEGF agents. The treat-and-extend (T&E) approach is a refined management strategy, tailoring to the individual patient's disease course and treatment outcome. To provide guidance to implementing anti-VEGF T&E regimens for nAMD in resource-limited health care systems, an advisory board was held to discuss and generate expert consensus, based on local and international guidelines, current evidence, as well as local experience and reimbursement policies.

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Influence of diurnal phase on behavioral tests of sensorimotor performance, anxiety, learning and memory in mice.

Sci Rep

January 2022

Department and Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan, 33302, Taiwan.

Behavioral measurements in mice are critical tools used to evaluate the effects of interventions. Whilst mice are nocturnal animals, many studies conduct behavioral tests during the day. To better understand the effects of diurnal rhythm on mouse behaviors, we compared the results from behavioral tests conducted in the active and inactive phases.

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Background: The purpose of this study is to evaluate the impact of prenatal screening tests on prenatal diagnosis in Taiwan's 14 years from 2006 to 2019.

Methods: The prenatal screening methods evolved from the second-trimester serum screening to combined first-trimester screening (cFTS) and then followed by the non-invasive cell-free DNA prenatal test (NIPT). The data used by the Department of Statistics, the Ministry of Health and Welfare and Department of Household Registration, Ministry of the Interior public website.

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The First Guillain-Barr? Syndrome After SARS-CoV-2 Vaccination in Taiwan.

Acta Neurol Taiwan

January 2022

Departments of Neurology, Chang Gung Memorial Hospital-Linkou Medical Center and Chang Gung University College of Medicine, Taoyuan, Taiwan;PhD Program in Biomedical Engineering, Chang Gung University, Taoyuan, Taiwan.

Purpose: Guillain-Barre syndrome (GBS) is an immune-mediated disease of the peripheral nerves and could be fatal and has severe neurologic complications. This study herein reports the clinical course of the first patient of GBS after SARS-CoV-2 Oxford/AstraZeneca vaccination in Taiwan.

Case Report: A 38-year-old woman who presented with progressive numbness and weakness of both upper and lower limbs over 1 week.

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Structural Covariance Network as an Endophenotype in Alzheimer's Disease-Susceptible Single-Nucleotide Polymorphisms and the Correlations With Cognitive Outcomes.

Front Aging Neurosci

December 2021

Department of Neurology, Cognition and Aging Center, Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Article Synopsis
  • Alzheimer's disease (AD) cognitive decline is linked to brain network degeneration, influenced by genetic factors that affect gray matter volume and cognitive outcomes, though their exact relationships are not fully understood.* -
  • The study involved 324 AD patients and examined the effects of 15 genetic loci on cognitive performance using MRI data, focusing on how these loci interact with apolipoprotein E4 (APOE4) status and structural covariance networks (SCNs).* -
  • Results indicated that the G allele was protective for cognitive scores, while the A genotype correlated with lower short-term memory subscores; specific genetic interactions with APOE4 were identified, highlighting the role of certain brain regions in cognitive performance.*
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Article Synopsis
  • Traumatic brain injury (TBI), especially mild TBI in juveniles (mTBI-J), can lead to long-term effects such as depression and other mental disorders, as studied in young male rats.
  • While physical brain damage was minimal, mTBI-J subjects displayed significant depression-like behaviors, indicated by increased immobility in the forced swimming test and decreased sucrose preference.
  • The study found reduced levels of brain-derived neurotrophic factor (BDNF) in the hippocampus of mTBI-J rats, suggesting a link between this protein and the observed behavioral changes, with potential therapeutic effects noted from a TrkB agonist treatment.
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